Department of Athletics Random Drug Testing Program

DORDT COLLEGE

Department of Athletics Random Drug Testing Program

TABLE OF CONTENTS PURPOSE: ................................................................................................................................................ 3 RATIONALE: ............................................................................................................................................. 3 METHOD: ................................................................................................................................................ 3 PROCEDURE: ........................................................................................................................................... 4 NOTIFICATION OF TEST RESULTS: ............................................................................................................ 4 APPENDIX A: CONSENT TO PARTICIPATE .................................................................................................. 5 APPENDIX B: CONSENT TO RELEASE INFORMATION ................................................................................. 6 APPENDIX C: BANNED DRUGS.................................................................................................................. 7 APPENDIX D: PROCEDURE FOR URINE SCREENING ................................................................................... 9 APPENDIX E: PROCEDURE FOR HAIR ANALYSIS....................................................................................... 18 APPENDIX F: COLLECTION TIPS .............................................................................................................. 22 INVALID AND QUANTITY NOT SUFFICIENT (QNS) SAMPLES: ................................................................... 23

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PURPOSE: Dordt College seeks to encourage an environment where student-athletes can use their gifts in a manner which brings glory to God; it seeks to promote a healthy use of our bodies and good sportsmanship. For the purpose of this document, banned substances include, but are not limited to: controlled substances, illegal substances, steroids and other performance-enhancing substances (Appendix C). Use of banned substances does not bring honor to the Lord, does not adhere to the core values of the NAIA Champions of Character program and does not reflect the core values of the Dordt College Athletic Department. This program will discourage the use of banned substances and will help preserve the integrity of the institution and the physical safety of the student-athletes.

RATIONALE: The Dordt College Athletic Department has determined that it is in the best interest of its studentathletes and the integrity of the college to begin random drug testing in the 2012-2013 academic year. The National Association of Intercollegiate Athletics (NAIA) does not require drug testing of studentathletes in its member institutions. The NAIA encourages its members to adopt their own drug testing program. The policies and procedures outlined below stand alongside the “Drug Testing Policy” outlined in the Dordt College Student Handbook and does not replace it or supersede it.

METHOD: Each student-athlete will be required to sign and return the Dordt College Athletic Department Consent to Participate in the Random Drug Testing and Education Program and Limited Waiver of Confidentiality (Appendix A) each year prior to their participation in practice or competition. Failure to sign and return the form will result in ineligibility of the student-athlete to participate on Dordt College intercollegiate athletic teams. The Dordt College Athletic Department, by use of Campus Health Services, will conduct random drug testing a minimum of two times during each academic semester. A sample of at least three student-athletes will be randomly selected from the entire population of student-athletes by the Athletic Director and/or his/her designee and required to appear for drug testing on each of the stipulated dates. The penalty for missing or refusing a scheduled drug test is the same as a “positive” test for a banned substance. The entire population of student-athletes is eligible for testing on each test date regardless of prior testing by the college. Dordt College may also request drug testing of specific student-athletes if there is reasonable suspicion of use of a banned substance. Circumstances for selection upon reasonable suspicion may include, but are not limited to, observed changes in athletic performance or changes in physical and/or emotional behavior. A request for testing under reasonable suspicion may be initiated by the Athletic Director, Athletic Trainers, Team Physician, Head Coaches, Assistant Coaches, Vice President for Student Services or any member of the college’s staff or faculty. All requests for testing under this policy must be made through the Athletic Director or Vice President for Student Services who will make a determination as to whether or not reasonable suspicion for testing exists. Any concerns or questions regarding the Dordt College Random Drug Test Policy should be addressed to the Vice President for Student Services and/or the Athletic Director or their designees.

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PROCEDURE: Methods for random testing may include urine and/or hair samples and will be conducted through Campus Health Services as outlined in their procedures. The program tests for the presence of controlled substances, illegal substances, steroids and other performance-enhancing substances. The testing procedure may be a chemical analysis of hair or a urine drug screen. The specimen is collected by or under the supervision of the Director of Campus Health Services, and is identified only by a code number. Specimens are sent to a certified lab for analysis and the results are returned to Dordt College, identified by code number only, not by name. Only the Director of Campus Health Services and Vice President for Student Services/Associate Provost for Co-Curricular Programs will have the code index through which the identity of a person who gave a particular sample can be determined. The Director of Campus Health Services should be contacted regarding specific questions on the testing procedures. A detailed document describing the procedure used for obtaining samples to be used for hair analysis or urine drug screening is available from Campus Health Services, Student Services or the Athletic Training staff and can be found online by going to www.dordt.edu/athletics/forms. Student-athletes should be aware that the methodology used for testing can identify the use of banned substances up to three months prior to the testing date.

NOTIFICATION OF TEST RESULTS: If a sample is negative, the results of the test will be communicated to the student-athlete from the Vice President for Student Services/Associate Provost for Co-Curricular Programs and/or his/her designee. If a sample is positive, the following steps will be taken: a. Student-athlete will be notified in person, by the Vice President for Student Services/Associate Provost for Co-Curricular Programs and/or his/her designee of the test results. b. Upon notification of a positive test result, the student-athlete may accept the results and is then subject to discipline under the random drug test policy within the Dordt College Student Handbook and those set forth in the team handbook of the particular sport. c. If a student-athlete appeals the initial positive result, the student-athlete may request further testing. The cost of this additional testing will be at the expense of the studentathlete if it is returned with a positive result and at the expense of the college if it is a negative result. d. Consequences of a positive test result will be determined by the policies set forth in the Dordt College Student Handbook and those set forth in the team handbook of the particular sport.

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APPENDIX A: CONSENT TO PARTICIPATE DORDT COLLEGE ATHLETIC DEPARTMENT CONSENT TO PARTICIPATE IN THE RANDOM DRUG TESTING AND EDUCATION PROGRAM AND LIMITED WAIVER OF CONFIDENTIALITY I, ____________________________, a student of Dordt College, as a condition to participating in intercollegiate athletics, do hereby consent to participate in the Dordt College Random Drug Testing Program (hereafter “Program”). I acknowledge that I have received, read and understand the policy statement concerning this Program which includes provisions for testing for the presence of banned substances identified by the Program and for education and counseling with regard to substance use. I understand that disciplinary sanctions will be imposed if it is determined that I have violated the provisions and intents of the Program. I hereby consent to having samples of my urine and/or hair tested for the presence of those drugs or other substances identified in the Program at such times as urine screening or hair analysis testing is required under the Program. I understand that I may choose not to sign this form and forego participation in intercollegiate athletics at Dordt College. Further, I understand that as a part of the Program, the results of this testing may be disclosed to the Vice President for Student Services/Associate Provost for Co-Curricular Programs and/or his/her designee, Athletic Director, and/or any senior officer of the College and members of the coaching staff. I also understand that my participation in intercollegiate athletics is conditioned upon my full and good faith participation and cooperation in all aspects of the Program including testing, education, counseling, and rehabilitation. I understand that if I am on any prescription medication that may interfere with the drug testing results that I should make this known at the time of sample collection in Campus Health Services. I also hereby release the College and all of their trustees, directors, officers, employees and agents from legal responsibility or liability for the release of such information and records as authorized by this consent. I understand that I am free to revoke this consent at any time and that I must do so in writing, except to the extent that action has been taken in reliance on consent given. I understand that, unless revoked, the consent will expire one year from the date of this authorization.

_____________________________________________________________________________________ Signature of Student (Print Full Name) Date Date of Birth

_____________________________________________________________________________________ Signature of Parent or Guardian if athlete is today under 18 years of age Date

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APPENDIX B: CONSENT TO RELEASE INFORMATION DORDT COLLEGE CONSENT TO RELEASE OF RANDOM DRUG TESTING INFORMATION TO PARENTS/GUARDIANS I have, in a separate document, given consent to undergo testing for the presence of drugs or other substances in accordance with the Dordt College Random Drug Testing Program. I hereby authorize the results of such testing to be released to my parents/guardians when in the opinion of my coach, athletic administrators, athletic trainers, or the Vice President for Student Services/Associate Provost for Co-Curricular Programs and/or his/her designee that such a release of information may benefit my course of treatment. I understand that I am free to revoke this consent at any time and that I must do so in writing, except to the extent that action has been taken in reliance on consent given. I understand that, unless revoked, the consent will expire one year from the date of this authorization.

__________________________________ Signature of Student

__________________________________ Date

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APPENDIX C: BANNED DRUGS BANNED DRUGS The following classes of drugs are banned: a. Stimulants b. Anabolic Agents c. Diuretics and Other Masking Agents d. Street Drugs e. Peptide Hormones and Analogues f. Anti-estrogens g. Beta-2 Agonists Note: Any substance chemically related to these classes and all respective releasing factors of banned substances are also banned. The institution and the student-athlete shall be held accountable for all drugs within the banned drug class regardless of whether they have been specifically identified. Drugs and procedures subject to restrictions: a. Blood Doping. b. Local Anesthetics (under some conditions). c. Manipulation of Urine Samples. d. Beta-2 Agonists permitted only by prescription and inhalation. e. Caffeine if concentrations in urine exceed 15 micrograms/ml. Some Examples of NCAA Banned Substances in Each Drug Class NOTE: There is no complete list of banned drug examples!! Check with your athletics department staff before you consume any medication or supplement. Stimulants: amphetamine (Adderall); caffeine (guarana); cocaine; ephedrine; fenfluramine (Fen); methamphetamine; methylphenidate (Ritalin); phentermine (Phen); synephrine (bitter orange); etc. Exceptions: phenylephrine and pseudoephedrine are not banned. Anabolic Agents (sometimes listed as a chemical formula, such as 3, 6, 17-androstenetrione): boldenone; clenbuterol; DHEA; nandrolone; stanozolol; testosterone; methasterone; androstenedione; norandrostenedione; methandienone; etiocholanolone; trenbolone; etc. Diuretics (water pills) and Other Masking Agents: bumetanide; chlorothiazide; furosemide; hydrochlorothiazide; probenecid; spironolactone (canrenone); triameterene; trichlormethiazide; etc. Street Drugs: heroin; marijuana; tetrahydrocannabinol (THC) – no other substances are classified as NCAA street drugs.

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Peptide Hormones and Analogues: growth hormone (hGH); human chorionic gonadotropin (hCG); erythropoietin (EPO); etc. Anti-Estrogens: anastrozole; tamoxifen; formestane; 3, 17-dioxo-etiochol-1, 4, 6-triene (ATD), etc. Beta-2 Agonists: bambuterol; formoterol; salbutamol; salmeterol; etc. Any substance that is chemically related to the class of banned drugs is also banned (unless otherwise noted).

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APPENDIX D: PROCEDURE FOR URINE SCREENING PROCEDURE FOR URINE SCREENING Rationale: Urine drug screens will be performed for randomized drug testing for the Athletic Department and on an as needed basis when there is reasonable suspicion that justifies testing a student-athlete. Specimen collection will take place in Campus Health Services. Personnel within Campus Health Services who perform urine specimen collection, will have successfully completed a Specimen Collector Certification Program that meets the Department of Transportation (DOT) standards. Specimens will be transported to Sioux Center Community Hospital & Health Center’s Occupational Health Department for analysis. Student-Athlete Scheduling: 1. Campus Health Services and the Athletic Department will determine dates when randomized testing will occur throughout the school year. 2. Student-athletes will schedule an appointment during Campus Health business hours for the completion of drug testing. 3. Student-athletes will provide reliable contact information. 4. Student-athletes who are 15 minutes late for an appointment will receive one reminder contact. 5. Failure to keep the appointment is a “failure to test” and is considered a positive test result. Collection Site: 1. Urine collection will take place in a private, enclosed restroom. 2. All sources of water (faucet, toilet tank) will be secured in such a way as to prevent use by the donor. 3. Bluing will be added to the toilet bowl to identify adulterated samples. 4. All cleaning supplies, soaps, or other materials that might be used to adulterate a sample will be removed. 5. Waste receptacle, discarded urine collection cups or other collection supplies will be removed from the enclosed restroom. Security Measures: 1. The collector will conduct a collection for one student-athlete at a time. However, during the time a student-athlete is waiting during the waiting period in a “shy bladder” situation, the collector may conduct a collection for another student-athlete. 2. The collector and student-athlete will keep the specimen in their view at all times until specimen is sealed in the specimen bottles. 3. Only the collector and the student-athlete will handle the specimen before it is sealed in the specimen bottles. 4. The collector remains at the collection site throughout the collection process.

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5. The collector maintains control of the specimen and the Custody and Control Form (CCF) throughout the process. 6. The Athletic Department will provide a male staff member as “Witness” in cases where an “Observed Collection” is necessary. The witness will not handle the specimen and does not have to meet the qualification standards of a collector. Collection Supplies: 1. Single-use plastic specimen bottles obtained through Sioux Center Occupational Health. Bottles will be clean, use a tamper-evident sealing system and be securely wrapped. They will have markings indicating the appropriate fill line for a primary and a split specimen. 2. Single-use plastic collection container. The container used for the donor to complete urination. It will be wrapped or sealed when given to the donor. It must be able to hold at least 55 mL of urine and have a temperature sensitive strip or device providing a graduated reading. 3. Leak resistant plastic bag. The bag must have two sealable compartments or pouches that when sealed are tamper-evident. The bag must also have absorbent material to absorb the urine if leakage occurs. 4. Shipping container for transport to Sioux Center Occupational Health. A hard sided container is used for transfer of specimen bottles and CCF to the laboratory. 5. Plastic gloves. Worn by the collector when handling specimen containers. 6. Custody and Control Form. A Non-Regulated CCF, supplied by the drug testing laboratory, will be utilized. 7. Tamper-evident seals. Used for sealing specimen bottles; seals will include a pre-printed, unique specimen ID number and a place for donor initials. The seals are attached to the CCF prior to their being affixed to the specimen bottles. 8. Security tape. In the event the water taps and toilet tank cannot be made inoperative, a strip of security tape must be placed over the faucet handles, toilet tank, and flush handle. The soap dispenser will also be disabled with security tape. 9. Bluing agent. Added to toilet water to prevent specimen contamination or dilution. Collection Process: 1. Donor will sign in and arrival time will be noted. 2. Donor will provide photo identification; fax or other copies of ID will not be accepted. If the donor cannot provide photo identification, a member of the Athletic Department will provide the necessary identification. Collector will record the name of the person verifying the donor’s identification in the “Remarks” section of the CCF. Donor identification cannot be done by a fellow student. If the donor’s identification cannot be verified, the collector must NOT proceed with the collection. 3. Collector will explain the basic collection procedure to the donor, including that failure to comply with instructions or non-cooperation, constitutes a refusal to test. 4. Donor will be asked to remove outer clothing (hat, coat, jacket, sweater, sweatshirt), and leave all hand carried items (purse, backpack, etc.) outside of the restroom.

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5. Donor will be directed to empty his/her pockets and display the items in them. The collector will inspect the items. Items that could be used to adulterate or substitute for a specimen must remain outside the restroom. If it is determined that the items were brought with the intent to adulterate the specimen, a directly observed collection will be conducted. 6. The collector completes Step 1 of the CCF. Only step 1 may be completed prior to the specimen being collected. Obtaining the Specimen: 1. In order to further eliminate risk of adulteration, the donor will be instructed to wash his/her hands prior to urination. Donor will remain in the presence of the collector until entering the urination enclosure. The donor will not have access to any water fountain, faucet, soap dispenser, cleaning agent or other material which could be used to adulterate the specimen. 2. The donor may choose his/her collection container. Either the collector or the donor may unwrap the collection container. The specimen bottles will remain wrapped, sealed, and with the CCF outside the toilet enclosure. 3. Donor will be directed to enter the restroom. Instruct donor to provide at least 45 mL of urine in the collection container, do not flush toilet, return to the collector with the specimen as soon as he/she has voided. Checking the Specimen: 1. Immediately upon receipt of the specimen container from the donor and before pouring off the urine into the specimen bottles, the collector shall: a. Check that the specimen contains at least 45 mL of urine. If there is less than 45 mL, the collector will discard the specimen and follow the “Shy Bladder” procedure. b. Inspect urine for unusual color, obvious odor, or the presence of contaminants (bleach will cause urine to foam, vinegar causes a strong odor). c. Using the temperature device attached to the specimen container, temperature of the specimen will be determined and recorded within 4 minutes of receiving the specimen. Acceptable temperature range is between 90 and 100 degrees F or 32-38 degrees Celsius. i. If the temperature is within the acceptable range, check the “Yes” box in Step 2 of the CCF. ii. If the temperature is outside the acceptable range, check “No” on the CCF and enter findings in the “Remarks” line of Step 2. Temperature should then be checked with a thermometer and the temperature recorded. iii. If the specimen temperature is outside the acceptable range, immediate direct observation collection is required. NOTE: In the case of a specimen suspected of adulteration/substitution, and /or out of temperature range, the specimen is not discarded. It is sent to the laboratory along with the subsequently collected, directly observed specimen.

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Preparing the Specimen: 1. Check the box in Step 2 of the CCF indicating it is a split specimen collection. All Iowa drug tests must be collected as split specimens. 2. The collector divides the specimen between two specimen bottles, with a minimum of 30 mL in bottle A and no less than 15 mL in bottle B. 3. Collector secures the bottle caps and places a tamper-evident seal on each bottle and dates the label/seal. Be sure that the A seal is on the 30 mL bottle and the B seal is on the 15 mL bottle. 4. After seals are attached to bottles, donor will initial the label on each bottle in the space provided. If the donor refuses to initial the bottle seals, the collector must note this in the “Remarks” section of the CCF, and continue with the collection process. 5. The donor must complete the donor information section of the CCF, including signing the donor certification statement on copy 2. If the donor refuses to sign the CCF, note this in the “Remarks” section and continue with the process. 6. Collector completes the “Chain of Custody” section of the CCF (step 4), including signing the collector certification statement and entering the name of the delivery or courier service transporting the specimen to the lab. 7. Collector removes copy 5 of the CCF and gives it to donor. 8. After checking specimen and CCF for errors, collector places both specimen bottles and Copy 1 of the CCF in the appropriate pouches of the specimen bag and secures both pouches. 9. Donor is advised that they may leave. Custody and Control Form: Using the correct CCF is important. The Federal CCF is used only with federally –mandated collections (i.e. DOT) A non-federal CCF is used for all other collections. The CCF is a permanent record that is also an evidentiary record. It records each transfer of the specimen from the point of collection through packaging, shipment and testing. It must include the names, addresses, and telephone/fax numbers of the organization, Medical Review Officer (MRO) and collector. The following information is present on all CCF: A pre-printed specimen identification number is printed at the top of the CCF. This number must be unique to the particular specimen and is printed on the bottle seals/label. Step 1: Completed by Collector  A block specifying the college’s name, address, and account or ID number, as well as the telephone and fax number of the Associate Provost.  A block specifying the Medical Review Officer’s name, address, telephone and fax numbers.  A block specifying the donor’s social security number, or student ID number that is entered by the collector.  Reason for Test: The collector checks either the “Random” or “Reasonable Suspicion/Cause” box.  Drug Tests to be Performed: Check the appropriate box to identify the drugs for which the specimen is to be tested.  A block for the collection site address, collector’s telephone and fax number. 12 | P a g e

Step 2: Completed by Collector  A block for the collector to record if the specimen temperature is within the acceptable range. If the specimen falls outside the acceptable range, the temperature should be recorded on the “Remarks” line.  A space for remarks to record any special circumstances which occur during the collection.  A space for marking that a split specimen was collected.  A box for indicating the collection was observed. If checked, the collector must note in the “Remarks” section the circumstances for the observed collection. Step 3: Completed by Collector and Donor  Step 3 on the CCF involves affixing the label/seal to the specimen bottles and having the donor initial them. The collector dates the seals after affixing them to the bottles and then directs the donor to initial each bottle seal. The donor should not be directed to initial the seals before they are placed on the bottles. Step 4: Completed by Collector  A block of information to be completed by the collector, including: o A certification statement signed and dated by the collector.  “I certify that the specimen given to me by the donor identified in the certification section on Copy 2 of this form, was collected, labeled, sealed and released to the delivery service noted in accordance with the applicable Federal requirements.” o Collector’s printed name (first and last name). o Time specimen was collected (not time donor arrived at collection site). Step 5: Completed by Donor  A block of information to be completed by the donor, this information is only on copies 2, 3, 4, and 5 of the CCF. o Donor certification statement: “I certify that I provided my specimen to the collector, that I have not adulterated it in any manner; each bottle was sealed with a tamperevident seal in my presence; and that information provided on this form and on the label affixed to each specimen bottle is correct.” o Donor’s signature. o Donor’s printed name (first and last). o Date of specimen collection. o Donor’s day time phone number. o Donor’s evening phone number. o Donor’s date of birth. o Medications “memory jogger” notice (medications are only to be recorded by the donor on the back of Copy 5 of the CCF) Steps 5a and 5b: Completed by the Laboratory Certifying Scientist Step 6: Completed by the Medical Review Officer Checking the Custody and Control Form (CCF): Before the donor leaves the collection site and prior to placing the CCF and specimen in the specimen bag, the collector should review the completed CCF and specimen bottles for errors and omissions. 13 | P a g e

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Fatal flaws that will result in rejection of the specimen from the laboratory, or cause the test result to be canceled by the MRO: o No collector signature and no collector printed name on the CCF o Specimen ID number on the specimen bottle and the CCF do not match (if a new CCF is started, the label/ID number should be changed o Specimen bottle seal is broken or shows evidence of tampering o Insufficient (